| NPI | 1962028571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-21-53064) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: KY RBT-18-48509) |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2022-04-08 |