NPI | 1962059329 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: FL 0-25-15881) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 19-96121) |
Enumeration Date | 2019-08-21 |
Last Update Date | 2025-03-06 |