NPI | 1699216648 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-19-34978) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-19-34978) |
106S00000X Behavior Technician (Licence: IL F61001693706) | |
Enumeration Date | 2017-03-09 |
Last Update Date | 2023-08-15 |