| NPI | 1174134449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH 1-22-57585) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-18-66406) |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2022-06-17 |