NPI | 1619427465 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-17-28454) |
Additional Taxonomies | 247200000X Technician, Other (Licence: FL RBT-16-22886) |
Enumeration Date | 2016-10-05 |
Last Update Date | 2018-03-21 |