| NPI | 1912467416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 1-24-76666) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: KY RBT-19-77799) |
| 106E00000X Assistant Behavior Analyst (Licence: KY 0-24-15285) | |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2024-12-09 |