| NPI | 1235704594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 1-25-79598) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: KY RBT-21-168429) |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2025-03-04 |