NPI | 1639787807 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO BACB-1-21-52857) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO RBT-20-122526) |
Enumeration Date | 2020-07-14 |
Last Update Date | 2022-04-07 |