NPI | 1821418856 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-21-55559) |
Additional Taxonomies | 106S00000X Behavior Technician |
222Q00000X Developmental Therapist | |
Enumeration Date | 2014-04-17 |
Last Update Date | 2021-11-29 |