| NPI | 1790180305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH COBA.00456) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA COBA.00456) |
| 103K00000X Behavior Analyst (Licence: VA 0133000505) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2022-08-10 |