| NPI | 1962014902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH 1-21-54860) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KY 295639) |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2025-09-15 |