| NPI | 1942951678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-19-36454) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH COBA.00603) |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2022-06-14 |