| NPI | 1063920064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 11940209) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: VA RBT-15-07155) |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2021-03-11 |