| NPI | 1730730748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 1-24-76997) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KY 296609) |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2025-01-14 |