| NPI | 1821709155 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: OH RBT-22-240127) |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2024-03-12 |