NPI | 1912646464 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 02516194) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 22-215522) |
Enumeration Date | 2022-06-02 |
Last Update Date | 2025-06-13 |