NPI | 1578269890 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-81711) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-22-251312) |
Enumeration Date | 2023-02-07 |
Last Update Date | 2025-06-17 |