| NPI | 1366967432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1-17-25206) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 1984) |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2017-08-09 |