| NPI | 1447510391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1-06-2881) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 961) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2022-07-21 |