| NPI | 1548983794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 280433) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH COBA.01447) |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2024-08-07 |