NPI | 1669825980 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-77559) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-15-10639) |
Enumeration Date | 2016-07-21 |
Last Update Date | 2024-11-22 |