| NPI | 1659887321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH COBA.00645) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KY 273559) |
| 103K00000X Behavior Analyst (Licence: 1-19-38954) | |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2021-09-27 |