| NPI | 1811439540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: VA RBT-19-91187) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2016-11-11 |
| Last Update Date | 2021-07-09 |