| NPI | 1215641311 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133003241)  | 
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: VA 0134000477)  | 
| Enumeration Date | 2023-01-12 | 
| Last Update Date | 2023-09-28 |