| NPI | 1760064570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-21-165203) |
| 106S00000X Behavior Technician (Licence: RBT-21-165203) | |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2023-06-07 |