NPI | 1952070153 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 02112363) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 18-69184) |
Enumeration Date | 2021-09-10 |
Last Update Date | 2022-01-05 |