| NPI | 1275278988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1-21-55354) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 3992) |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2023-05-26 |