NPI | 1821589904 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA BCBA1-22-61387) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2018-05-23 |
Last Update Date | 2022-09-17 |