| NPI | 1366633232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH 1-13-15030) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 103K00000X Behavior Analyst (Licence: IL 1-13-15030) | |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2015-04-07 |