NPI | 1710479662 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-18-32898) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL RBT-18-47072) |
Enumeration Date | 2018-06-05 |
Last Update Date | 2022-04-22 |