| NPI | 1477926913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH COBA.01215) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1500590) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2023-06-23 |