NPI | 1548826381 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-20-11563) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-77995) |
Enumeration Date | 2019-05-16 |
Last Update Date | 2020-12-08 |