| NPI | 1528576121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 1-22-62946) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: VA 00004260) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2026-06-24 |