| NPI | 1497260913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: RI LBA00275) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 2957-MH-B1) |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2023-03-28 |