NPI | 1578101333 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-47788) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 17-41600) |
Enumeration Date | 2019-12-11 |
Last Update Date | 2024-05-10 |