NPI | 1760080626 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-20-125690) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 20125690) |
Enumeration Date | 2020-10-13 |
Last Update Date | 2021-09-20 |