| NPI | 1245705508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KS 1-24-73460) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 106S00000X Behavior Technician (Licence: KS RBT-17-37303) | |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2024-08-14 |