NPI | 1861018004 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-57252) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-20-120679) |
Enumeration Date | 2020-06-23 |
Last Update Date | 2022-01-10 |