| NPI | 1508575804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA TZ864972) |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2022-11-29 |