| NPI | 1578068078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NH 1-18-29542) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 2393) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2021-04-22 |