| NPI | 1568984649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-15-18298) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH 161) |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2025-09-11 |