| NPI | 1225705585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 279953) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-18-63868) |
| 106S00000X Behavior Technician (Licence: KY RBT-21-181444) | |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2022-08-29 |