| NPI | 1679171425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OK 1-22-61311) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OK RBT-20-139519) |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2022-09-06 |