| NPI | 1063174241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA LABA10001593) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 4492) |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2025-07-21 |