| NPI | 1619469996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH P.08347) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH COBA.00598) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-06-03 |
| Last Update Date | 2022-09-09 |