NPI | 1952863854 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-21-49517) |
Additional Taxonomies | 103K00000X Behavior Analyst |
106S00000X Behavior Technician (Licence: PA RBT-19-81004) | |
Enumeration Date | 2019-04-01 |
Last Update Date | 2021-05-31 |