NPI | 1326459421 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1-23-65057) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2014-05-12 |
Last Update Date | 2023-05-04 |