NPI | 1811618549 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-78886) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-22-228989) |
Enumeration Date | 2022-09-09 |
Last Update Date | 2025-01-20 |