| NPI | 1194232389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 1-17-28407) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103K00000X Behavior Analyst (Licence: SC 1-17-28407) | |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2022-08-19 |