| NPI | 1063188829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: VA RBT-21-178969) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2023-05-24 |