| NPI | 1861068074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-23-67181) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: VA 17-43137) |
| 106E00000X Assistant Behavior Analyst (Licence: 0-21-12645) | |
| Enumeration Date | 2021-05-28 |
| Last Update Date | 2023-07-31 |