NPI | 1689218612 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: 1-21-12446) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: PA RBT-19-99177) |
Enumeration Date | 2019-11-02 |
Last Update Date | 2021-08-26 |