| NPI | 1508251919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 1-24-73868) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2025-10-07 |