NPI | 1821523481 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-22-59270) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-54636) |
Enumeration Date | 2017-04-20 |
Last Update Date | 2024-03-13 |