| NPI | 1265998710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OK 1-20-41986) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: RBT-18-59164) |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2022-07-10 |