NPI | 1699231241 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 1-23-67935) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: KY RBT-19-107909) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2019-02-19 |
Last Update Date | 2024-02-06 |