NPI | 1730728536 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MT PSY-BA-LIC-5056) |
Additional Taxonomies | 103K00000X Behavior Analyst |
106S00000X Behavior Technician (Licence: MT 19-97920) | |
Enumeration Date | 2019-12-27 |
Last Update Date | 2024-12-17 |