NPI | 1992278477 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CA 1-22-59506) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL RBT-19-75428) |
Enumeration Date | 2019-01-07 |
Last Update Date | 2022-11-28 |