| NPI | 1790314938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH 1-05-2410) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH COBA.35) |
| 103T00000X Psychologist (Licence: MI 6301011821) | |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-07-30 |