| NPI | 1730641978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 268642) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-21-47090) |
| 106S00000X Behavior Technician (Licence: KY RBT-18-57609) | |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2021-02-01 |