| NPI | 1043726375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1-21-51501) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-12-22 |
| Last Update Date | 2024-04-22 |