| NPI | 1457835621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 01-18-31460) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH 00477) |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2022-11-07 |