| NPI | 1134887219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: OH RBT-21-195118) |
| Additional Taxonomies | 247200000X (Licence: OH RBT-21-195118) |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2023-06-13 |