| NPI | 1720603970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: VA RBT-20-131269) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-06-13 |
| Last Update Date | 2021-06-15 |