| NPI | 1316447345 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: VA 1848097)  | 
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: VA 00005047)  | 
| Enumeration Date | 2018-02-16 | 
| Last Update Date | 2018-02-16 |