| NPI | 1659810463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 291118) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106S00000X Behavior Technician (Licence: KY RBT-22-206163) | |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2024-05-23 |