NPI | 1942678099 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-19-36273) |
Additional Taxonomies | 103K00000X Behavior Analyst |
106S00000X Behavior Technician | |
Enumeration Date | 2015-09-07 |
Last Update Date | 2022-01-27 |