| NPI | 1104408012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 1-23-63698) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: VA 21162116) |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2023-04-16 |