NPI | 1952952673 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-25-83543) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-22-208990) |
Enumeration Date | 2019-09-24 |
Last Update Date | 2025-08-19 |