| NPI | 1306230156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA LABA3414) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 349357) |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2023-08-18 |