| NPI | 1447775911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA LABA10000249) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 1-18-30896) |
| 103T00000X Psychologist (Licence: NC 5801) | |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2023-05-22 |