| NPI | 1023780020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH 1-22-60246) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-19-81319) |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2024-01-09 |