| NPI | 1902480924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH COBA.01182) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-21-166803) |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2023-04-17 |