NPI | 1891201117 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-24-72145) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-17-45475) |
Enumeration Date | 2017-12-21 |
Last Update Date | 2024-04-03 |