NPI | 1598334526 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 1-23-6407) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: MO RBT-19-106643) |
Enumeration Date | 2021-06-23 |
Last Update Date | 2023-03-10 |