| NPI | 1992386007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-23-70003) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: VA RBT-21-163887) |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2023-12-08 |