| NPI | 1447675327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 3822-MH-B1) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MA 3547) |
| Enumeration Date | 2014-02-28 |
| Last Update Date | 2026-08-06 |