| NPI | 1396312005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-22-61619) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH 1-22-61619) |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2022-12-15 |