| NPI | 1740039957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: VA BACB-965034) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-05-20 |