| NPI | 1053924597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH 1-23-65003) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-20-131034) |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2023-04-11 |