| NPI | 1780256420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 289485) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: KY RBT-21-170572) |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2023-12-20 |