| NPI | 1508376773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133003621) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH 1-20-42038) |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2024-06-14 |