| NPI | 1144834169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 002004) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 3189-MH-B1) |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2025-02-26 |