NPI | 1902564362 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 1-23-63861) |
Additional Taxonomies | 103K00000X Behavior Analyst |
106S00000X Behavior Technician (Licence: VA RBT-21-177688) | |
Enumeration Date | 2021-12-02 |
Last Update Date | 2024-02-10 |