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 |