| NPI | 1447839253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 32-MH-B1) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH004046) |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2021-05-14 |