| NPI | 1912547878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OK 1-21--56394) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OK RBT1982942) |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2021-12-29 |