| NPI | 1811563679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH COBA.01423) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA 1-16-22748) |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2024-09-12 |