NPI | 1669055596 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-20-126627) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL BACB540609) |
Enumeration Date | 2021-04-29 |
Last Update Date | 2021-08-26 |