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 |