| NPI | 1093201386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: VA RBT-18-57695) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-18-57396) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |