| NPI | 1720474042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 00218604) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KY 1-15-18570) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2022-11-02 |