| NPI | 1215499207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 1-22-59865) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: KY RBT-19-81061) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2022-06-17 |