| NPI | 1689172165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH COBA.00400) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KY 241585) |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2018-06-05 |