NPI | 1588246441 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 1-24-78029) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: MO RBT-20-145648) |
Enumeration Date | 2021-04-21 |
Last Update Date | 2025-01-20 |