| NPI | 1013649649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH COBA.00370) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH 1-17-25052) |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2025-09-02 |