NPI | 1679957161 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-19-10535) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-17-29678) |
Enumeration Date | 2015-07-14 |
Last Update Date | 2022-12-20 |