| NPI | 1275078503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH COBA.258) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH 1-15-20998) |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2023-07-11 |