| NPI | 1508258104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA LABA10000400) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 10000400) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2024-01-26 |