| NPI | 1023537172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 2620) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103K00000X Behavior Analyst (Licence: NH 1-18-33220) | |
| Enumeration Date | 2017-09-10 |
| Last Update Date | 2022-02-12 |