NPI | 1790241719 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WV 0-19-10593) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: WV RBT-16-19089) |
Enumeration Date | 2019-02-14 |
Last Update Date | 2019-12-30 |