| NPI | 1235635442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 1-23-67512) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-18-52759) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2023-08-14 |