| NPI | 1043661085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH 1-14-17873) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH 144) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2016-06-30 |