| NPI | 1124590831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD LBA1182) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: VA RBT-18-49544) |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2022-01-14 |