| NPI | 1780173567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-19-37080) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: VA RBT-16-25342) |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2020-10-19 |