| NPI | 1578123931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA LABA10001049) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2024-08-28 |