| NPI | 1770091548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133002234) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician (Licence: VA rbt-17-39444) | |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2022-03-28 |