| NPI | 1326221912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1-14-16239) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: MA 371584) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2024-02-02 |