| NPI | 1568031417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA LABA100000563) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 100000563) |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2025-03-23 |