NPI | 1659997609 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-49114) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-103740) |
Enumeration Date | 2020-06-24 |
Last Update Date | 2024-09-23 |