| NPI | 1205235751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH 1-14-16720) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC007731) |
| 103K00000X Behavior Analyst (Licence: OH COBA.56) | |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2015-01-22 |