| NPI | 1043984396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH 1-24-72450) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-21-172820) |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2024-05-15 |