| NPI | 1104627140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: VA RBT-25-433357) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2025-05-15 |