| NPI | 1093383721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 1-25-79347) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KY 297967) |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2025-03-28 |