| NPI | 1962118703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OK 1-24-74099) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2024-09-11 |