NPI | 1730850488 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-64724) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-21-173235) |
Enumeration Date | 2021-09-22 |
Last Update Date | 2023-03-25 |