| NPI | 1528540580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-18-33232) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO 2019029223) |
| 103K00000X Behavior Analyst (Licence: KS 203) | |
| 106S00000X Behavior Technician (Licence: KS RBT-18-47639) | |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2023-03-14 |