| NPI | 1336581677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA LABA10001343) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-21-49327) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2025-02-25 |