| NPI | 1265057061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1-19-38978) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: GA 1-19-38978) |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2022-12-15 |