| NPI | 1558029249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-19-37979) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 2925) |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2023-08-02 |