| NPI | 1053812107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA LABA10001575) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-20-41631) |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2025-09-14 |