| NPI | 1356975833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WV 1-23-64293) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WV RBT-20-112969) |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2025-02-21 |