| NPI | 1215443395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-22-62246) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: VA RBT-16-1380-31914) |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2022-11-03 |