NPI | 1871123448 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133002506) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: VA RBT-19-96593) |
Enumeration Date | 2020-01-22 |
Last Update Date | 2024-07-08 |