| NPI | 1477110682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OK 1-21-53021) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OK RBT-19-86153) |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2021-09-14 |