NPI | 1720564560 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OK 1-20-43108) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-16-19390) |
Enumeration Date | 2018-07-16 |
Last Update Date | 2020-07-10 |