| NPI | 1407329402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH 1-15-20777) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH 307) |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2019-01-02 |