NPI | 1962147066 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: FL RBT-20-140619) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-23-65413) |
Enumeration Date | 2022-05-03 |
Last Update Date | 2023-05-05 |