| NPI | 1215469879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133002776) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: VA (757)-362-8388) |
| Enumeration Date | 2017-04-01 |
| Last Update Date | 2022-10-25 |