| NPI | 1265195754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 282510) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: KY RBT-21-189664) |
| Enumeration Date | 2021-10-21 |
| Last Update Date | 2023-01-04 |