NPI | 1871162008 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-74471) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-21-172582) |
Enumeration Date | 2021-06-22 |
Last Update Date | 2024-09-05 |