| NPI | 1083351605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA LABA10001627) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 12478180) |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2026-01-15 |