| NPI | 1720606155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 273596) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KY 271186) |
| 106S00000X Behavior Technician (Licence: KY RBT-20-126360) | |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2021-09-30 |