NPI | 1629422761 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1446) |
Additional Taxonomies | 106S00000X Behavior Technician |
222Q00000X Developmental Therapist | |
247200000X Technician, Other | |
252Y00000X Early Intervention Provider Agency | |
Enumeration Date | 2016-04-14 |
Last Update Date | 2025-08-07 |