| NPI | 1962052738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OK 1-20-41072) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-19-83192) |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2020-03-05 |