NPI | 1982179669 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: IL RBT-18-67044) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-20-45053) |
Enumeration Date | 2018-10-09 |
Last Update Date | 2020-10-20 |