| NPI | 1407408982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA A65325311) |
| 106S00000X Behavior Technician (Licence: VA A65325311) | |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2019-07-15 |