| NPI | 1831598887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OH OH3107958) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH 1-18-33302) |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2023-08-15 |