| NPI | 1053980078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH COBA.01815) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 3839) |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2026-01-27 |