NPI | 1578939633 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL B652-8019-1741-01) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WI B652-8019-1741-01) |
Enumeration Date | 2015-08-12 |
Last Update Date | 2019-05-22 |