NPI | 1952823213 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-20-40910) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CT RBT-16-26320) |
Enumeration Date | 2017-07-07 |
Last Update Date | 2023-02-10 |