NPI | 1912415902 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-22-60539) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO RBT-17-42619) |
Enumeration Date | 2018-01-12 |
Last Update Date | 2023-01-05 |