| NPI | 1528798311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 282547) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: KY RBT-22-220001) |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2026-03-09 |