| NPI | 1750167565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH COBA.01251) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CO 1-22-59884) |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2023-09-06 |