| NPI | 1710626072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH 1-26-2851622) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH COBA.02090) |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2026-10-29 |