| NPI | 1336520733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OK 1-14-9693) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: OK 0665667) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2024-04-29 |