| NPI | 1285149575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1-21-48718) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2024-05-21 |