| NPI | 1558809525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH 236) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-15-19634) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2018-09-06 |