| NPI | 1649637810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH BACB: 1-15-19520) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH COBA.240) |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2019-06-11 |