| NPI | 1780392340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133005169) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: VA 0134000644) |
| 106S00000X Behavior Technician (Licence: VA RBT-22-242407) | |
| Enumeration Date | 2022-11-11 |
| Last Update Date | 2026-04-24 |