| NPI | 1164098315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician (Licence: KY RBT-22-201107) | |
| Enumeration Date | 2021-05-28 |
| Last Update Date | 2024-06-25 |