| NPI | 1104572908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH 1-24-75138) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH COBA.01484) |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2025-04-29 |