| NPI | 1114633112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: KY 861401) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KY 296756) |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2025-01-13 |