| NPI | 1407455264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 3252) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA PSLP10122) |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2025-06-25 |