| NPI | 1023489960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1-14-9891) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 850) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2016-10-25 |