NPI | 1629619648 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: MN 0-21-12000) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: MN RBT-19-100553) |
Enumeration Date | 2019-10-01 |
Last Update Date | 2021-04-09 |