NPI | 1891190286 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 1-18-29976) |
Additional Taxonomies | 106S00000X Behavior Technician |
222Q00000X Developmental Therapist | |
Enumeration Date | 2014-10-28 |
Last Update Date | 2018-04-10 |