| NPI | 1578165619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA LABA10000476) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CT 1752) |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2023-10-09 |