| NPI | 1295272748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1518-MH-BI) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: RI 00118) |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2025-05-10 |