NPI | 1558941161 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-22-61911) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-20-145409) |
Enumeration Date | 2021-04-09 |
Last Update Date | 2022-10-14 |