| NPI | 1992206536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 1-20-42199) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2022-05-24 |