NPI | 1760919468 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-41462) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL E640-557-94-525-0) |
Enumeration Date | 2017-05-12 |
Last Update Date | 2023-04-27 |