| NPI | 1245820604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133002257) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: VA RBT-20-145866) |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2021-12-20 |