| NPI | 1811636699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH 1-24-74256) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH COBA.01473) |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2025-04-16 |