| NPI | 1306510656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1-21-50988) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA LABA3792) |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2025-07-06 |