| NPI | 1003558826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1137) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 1-15-21017) |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2022-04-12 |