| NPI | 1497034771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 500) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 1-15-19017) |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2019-09-03 |