| NPI | 1649728718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OK 1-16-22938) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1292) |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2025-10-06 |