| NPI | 1124521000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 264759) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH COBA.00683) |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2020-08-10 |