| NPI | 1215384441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OK 1-14-15746) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: OK 44413) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-08-07 |