| NPI | 1912414921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 1-20-44771) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: VA RBT-17-46831) |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2023-01-26 |