NPI | 1700347119 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: KY 296413) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: KY RBT-19-89190) |
Enumeration Date | 2019-03-28 |
Last Update Date | 2025-01-21 |