| NPI | 1124587639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: VA 0-20-11680) |
| 106S00000X Behavior Technician (Licence: VA RBT-18-50795) | |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2022-04-26 |