NPI | 1902358708 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-18-33526) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-17-30488) |
Enumeration Date | 2016-10-27 |
Last Update Date | 2023-11-21 |