| NPI | 1104571736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KS 00622) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: KS 0-21-13306) |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2023-10-20 |