| NPI | 1255951505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OK 1-22-58655) |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2022-04-20 |