NPI | 1932674967 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-52402) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-18-65954) |
Enumeration Date | 2018-10-05 |
Last Update Date | 2022-08-30 |