| NPI | 1699262113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 1-21-53738) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2021-10-27 |