| NPI | 1124520465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH BACB304746) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH COBA.00380) |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2021-08-27 |