| NPI | 1982158739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: OH OH3227777) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH 1-21-49994) |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2023-07-24 |