| NPI | 1558665901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 1-18-33553) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KY 0-03-0782) |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2020-09-30 |