NPI | 1639623606 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: WA AB61143147) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA CG 60688138) |
Enumeration Date | 2016-08-08 |
Last Update Date | 2021-04-05 |