| NPI | 1609518224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133003889) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: VA RBT-22-211740) |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2024-10-04 |