| NPI | 1487928628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH 1817449) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: OH 36D2045034) |
| 225CA2400X Rehabilitation Counselor Assistive Technology Practitioner (Licence: OH 1817449) | |
| 225CA2500X Rehabilitation Counselor Assistive Technology Supplier (Licence: OH 1817449) | |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-12-27 |