| NPI | 1487083473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH COBA.142) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.0600078) |
| 103K00000X Behavior Analyst (Licence: OH 1-13-13309) | |
| Enumeration Date | 2013-11-11 |
| Last Update Date | 2020-05-29 |