| NPI | 1902565047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH 1-24-70506) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH COBA.01361) |
| Enumeration Date | 2021-12-16 |
| Last Update Date | 2026-05-12 |