NPI | 1750826715 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-22-61251) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-17-30514) |
Enumeration Date | 2016-12-30 |
Last Update Date | 2022-10-01 |