| NPI | 1215621388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133004694) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: VA RBT-22-213394) |
| Enumeration Date | 2023-06-02 |
| Last Update Date | 2025-10-21 |