| NPI | 1043535594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-04-1956) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: RI LBA0003) |
| 103K00000X Behavior Analyst (Licence: MA LABA849) | |
| Enumeration Date | 2010-03-27 |
| Last Update Date | 2025-05-16 |