NPI | 1639678071 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-21-48097) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL RBT-17-43732) |
Enumeration Date | 2018-02-11 |
Last Update Date | 2021-07-06 |