| NPI | 1801477625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133002842) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: VA RBT-21-161219) |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2023-01-05 |