| NPI | 1700286069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OK 1-14-16709) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2014-08-23 |
| Last Update Date | 2022-09-01 |