| NPI | 1184193906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA LABA10001140) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: RI LBA00530) |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2026-05-14 |