NPI | 1861962524 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-69021) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-64730) |
Enumeration Date | 2018-11-26 |
Last Update Date | 2023-10-30 |