| NPI | 1730607698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-17-26378) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KY 267579) |
| 103K00000X Behavior Analyst (Licence: OH COBA.00590) | |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2020-12-14 |