| NPI | 1730714312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH 1-21-50986) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH 19-91771) |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2021-07-20 |