| NPI | 1013560622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133001875) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: VA RBT-19-93360) |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2022-12-15 |