| NPI | 1104324425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 1-22-61271) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 6633) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2022-09-06 |