| NPI | 1730387523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 276099) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY KY-R2863) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2023-05-05 |