| NPI | 1841753878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 1-21-51795) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-18-65003) |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2023-06-22 |