| NPI | 1427711548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA LABA3769) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-21-49961) |
| Enumeration Date | 2021-10-15 |
| Last Update Date | 2024-07-17 |