| NPI | 1760956791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH 1-18-33199) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-18-33199) |
| Enumeration Date | 2019-01-12 |
| Last Update Date | 2022-04-13 |