NPI | 1639821333 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-84487) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 21-196874) |
Enumeration Date | 2022-01-24 |
Last Update Date | 2025-09-29 |