| NPI | 1629586086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 1-19-35037) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: VA RBT-17-7726-79162) |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2019-07-17 |