NPI | 1932760402 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-52252) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-06-25 |
Last Update Date | 2022-07-06 |