| NPI | 1265074496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH COBA.00963) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH NA) |
| 171M00000X Case Manager/Care Coordinator (Licence: OH NA) | |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2022-08-17 |