| NPI | 1962014902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH 1-21-54860) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-19-79007) |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2021-11-24 |