| NPI | 1760928840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH COBA.00572) |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2023-01-03 |