| NPI | 1457850760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH COBA.00403) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-17-28584) |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-02-02 |