NPI | 1386280485 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH 1-24-72128) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-19-94703) |
Enumeration Date | 2019-11-23 |
Last Update Date | 2025-07-14 |