NPI | 1578371266 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL RBT-24-396129) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL G246-270-13-600-0) |
Enumeration Date | 2024-12-26 |
Last Update Date | 2025-02-04 |