| NPI | 1154975175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: VA 19-107071) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2020-01-23 |