| NPI | 1134696610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OK 1-22-60065) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OK RBT-17-4070) |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2022-08-09 |