| NPI | 1104478957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OK 1-20-42512) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OK RBT-15-07298) |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2020-07-22 |