| NPI | 1215643564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH 1-24-78306) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH COBA.01606) |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2026-06-30 |