| NPI | 1942478359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OK 1-16-21787) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK PT2111) |
| 225100000X Physical Therapist (Licence: OK 2111) | |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2022-05-01 |