| NPI | 1477192748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH P.08525) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH COBA.00589) |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2023-08-29 |