NPI | 1639522089 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-15-05595) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL RBT-15-05595) |
Enumeration Date | 2016-07-21 |
Last Update Date | 2019-02-14 |