NPI | 1558931998 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-74195) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-21-165753) |
Enumeration Date | 2021-06-28 |
Last Update Date | 2024-08-05 |