| NPI | 1104837061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OK 1231) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OK 1-14-15110) |
| 103TS0200X Psychologist, School (Licence: OK 44454) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2021-06-02 |