| NPI | 1568860963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH COBA.336) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH 1-17-25330) |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2022-10-18 |