| NPI | 1073168647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA LABA10000004) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2023-03-27 |