| NPI | 1245655414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH COBA.00492) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH 1-18-31915) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2019-03-04 |