| NPI | 1225510332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CT 1730) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA LABANE10000047) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2023-08-30 |