| NPI | 1225663859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 1-21-48612) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KY RBT-19-76774) |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2021-03-30 |