| NPI | 1225455629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1-16-23347) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2023-05-18 |