| NPI | 1821608910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH 1-21-48756) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-19-92121) |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2021-04-20 |