| NPI | 1124633045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: KY RBT-19-105637) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2023-02-07 |