| NPI | 1518625672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH COBA.00959) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH 1-21-54703) |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2023-09-08 |