| NPI | 1083235501 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OK 1-24-73766) | 
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MO BACB465780) | 
| Enumeration Date | 2020-05-06 | 
| Last Update Date | 2024-09-03 |