| NPI | 1205341377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 3488) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2021-05-07 |