NPI | 1932603164 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-20-46237) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: IL RBT-18-49171) |
Enumeration Date | 2018-03-21 |
Last Update Date | 2023-12-04 |