NPI | 1790142925 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: AR 0-21-11869) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: AR RBT-17-31122) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2016-01-19 |
Last Update Date | 2021-04-14 |