NPI | 1265617294 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KS BCBA 1-01-0654) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2008-01-09 |
Last Update Date | 2011-03-19 |