| NPI | 1225694557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 1-23-64336) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: VA 0-22-13695) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2023-03-02 |