NPI | 1780295113 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-74141) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-120264) |
Enumeration Date | 2020-08-10 |
Last Update Date | 2024-10-03 |