| NPI | 1700467990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: KS RBT-20-131973) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KS 00526) |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2022-05-18 |