| NPI | 1710543319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133001833) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: VA RBT-18-73107) |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2023-02-24 |