NPI | 1821686189 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-54315) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-120191) |
Enumeration Date | 2021-01-04 |
Last Update Date | 2024-09-26 |