| NPI | 1952961559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133002020) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: VA RBT-15-08130) |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2021-06-09 |