| NPI | 1376181651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH 1-20-41562) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: KY RBT-16-23273) |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2020-05-06 |