| NPI | 1457940694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133002423) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: VA RBT-16-27383) |
| Enumeration Date | 2021-01-12 |
| Last Update Date | 2022-03-31 |