NPI | 1730668633 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-51015) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2018-08-10 |
Last Update Date | 2021-07-06 |