| NPI | 1457702284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133001048) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA RBT-15-07749) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2024-08-28 |