| NPI | 1760142251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 156F00000X Technician/Technologist |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-21-197917) |
| Enumeration Date | 2021-12-23 |
| Last Update Date | 2022-06-06 |