| NPI | 1154979490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OK 1-19-38478) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 3025) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-08-29 |
| Last Update Date | 2024-11-21 |