| NPI | 1609416874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-19-35314) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH COBA.00544) |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2021-11-11 |