NPI | 1639671035 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-22-58584) |
Additional Taxonomies | 106S00000X Behavior Technician |
251S00000X (Licence: CA 1-22-58584) | |
Enumeration Date | 2018-03-02 |
Last Update Date | 2022-03-18 |