| NPI | 1336772573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OK 1-19-36386) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133001578) |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2023-04-10 |