NPI | 1538582093 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1-18-30790) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2014-02-03 |
Last Update Date | 2023-06-30 |