NPI | 1548839889 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-25-78799) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-21-172372) |
Enumeration Date | 2021-06-22 |
Last Update Date | 2025-01-10 |