| NPI | 1760888762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH COBA.20) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-13-14228) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2014-11-18 |