| NPI | 1164938437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 1-21-47173) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: VA 0134000242) |
| 106S00000X Behavior Technician (Licence: VA RBT-16-27090) | |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2021-01-25 |