| NPI | 1639729601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OK 1-24-75918) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2024-11-01 |