| NPI | 1376164434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: VA RBT-20-119255) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2021-03-12 |