| NPI | 1306466800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 627) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 1-11-8102) |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2023-06-02 |