| NPI | 1760967707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH 1-20-43267) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-18-62827) |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2020-09-14 |