| NPI | 1366095861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: OK L083501454) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 175T00000X Peer Specialist (Licence: OK L083501454) | |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2022-09-06 |