NPI | 1740976216 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 0-25-16236) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-23-268739) |
Enumeration Date | 2023-04-17 |
Last Update Date | 2025-07-11 |