| NPI | 1083166334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH COBA #286) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH BACB#1-16-23725) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |