NPI | 1649748781 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: IL RBT-18-69413) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IL 1-21-53611) |
Enumeration Date | 2018-11-07 |
Last Update Date | 2021-09-29 |