| NPI | 1124484878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2102488) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1801070) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2021-11-01 |