NPI | 1548837362 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: AL RBT-21-175326) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AL 2025-132) |
Enumeration Date | 2021-06-09 |
Last Update Date | 2025-09-19 |