| NPI | 1487147815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1-18-29328) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1795) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2018-06-11 |