| NPI | 1063063410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1-22-58475) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2022-03-28 |