| NPI | 1124613039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1-20-46465) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 1-20-4645) |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2021-03-11 |