| NPI | 1912558230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 1-21-56462) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: VA RBT-19-99948) |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2021-12-30 |