NPI | 1740755826 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH 1-24-76489) |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2018-10-04 |
Last Update Date | 2024-10-19 |