| NPI | 1427691815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KS 1-22-59940) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: KS RBT-19-99635) |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2022-08-18 |