| NPI | 1356990667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KS LBA00464) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: KS RBT-19-98420) |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2021-09-09 |