NPI | 1578215893 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 0-25-16042) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-21-170823) |
Enumeration Date | 2022-01-19 |
Last Update Date | 2025-04-22 |