| NPI | 1225686892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 285355) |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| 106S00000X Behavior Technician | |
| 106S00000X Behavior Technician (Licence: KY RBT-19-76750) | |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2023-06-02 |