NPI | 1730643149 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-21-47711) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-17-30718) |
Enumeration Date | 2019-01-30 |
Last Update Date | 2021-03-22 |