| NPI | 1003373374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA LABA2634) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-18-29845) |
| 103K00000X Behavior Analyst (Licence: RI LBA00439) | |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2025-08-26 |