NPI | 1942799812 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-20-40794) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: NC RBT-16-26236) |
Enumeration Date | 2018-05-07 |
Last Update Date | 2023-03-31 |