| NPI | 1538780267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1-18-32435) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 2749) |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-05 |