| NPI | 1831791110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 1-22-58737) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: KY RBT-20-113836) |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2022-05-05 |