| NPI | 1740889534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 276129) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: KY RBT-20-132935) |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2022-02-24 |