| NPI | 1487925335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OK 1-11-9464) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 6531) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2019-02-08 |