| NPI | 1992246441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-24-73277) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH COBA.00809) |
| 247200000X Technician, Other | |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2025-01-15 |