| NPI | 1114398468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 2068) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 220546) |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2018-05-19 |