| NPI | 1609584135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: VA RBT-22-202684) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2022-11-14 |