NPI | 1659010783 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-23-63840) |
Additional Taxonomies | 103K00000X Behavior Analyst |
106S00000X Behavior Technician (Licence: RBT-21-173036) | |
Enumeration Date | 2022-05-27 |
Last Update Date | 2023-02-02 |