| NPI | 1720741325 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: VA 00015419) | 
| Additional Taxonomies | 106S00000X Behavior Technician | 
| Enumeration Date | 2021-10-20 | 
| Last Update Date | 2021-10-20 |