| NPI | 1265693048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 0070) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: KY PSYPPR00216455) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2021-01-29 |