| NPI | 1083358444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: OH RBT-22-212812) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2025-01-08 |