NPI | 1700452687 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-23-66921) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: NC 10727) |
Enumeration Date | 2021-06-01 |
Last Update Date | 2023-08-14 |