NPI | 1548700818 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-21-13043) |
Additional Taxonomies | 106S00000X Behavior Technician |
224Z00000X Occupational Therapy Assistant (Licence: FL 15762) | |
Enumeration Date | 2017-03-06 |
Last Update Date | 2024-08-30 |