| NPI | 1104596147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH 1-24-77803) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH COBA.01579) |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2026-07-31 |