| NPI | 1790447738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 1-24-75237) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: KY 728238) |
| Enumeration Date | 2021-10-07 |
| Last Update Date | 2024-09-25 |