| NPI | 1871137190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KS 1-19-39166) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: KS RBT-17-38776) |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2021-08-18 |