| NPI | 1588173090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA LABA10000194) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VT 146.0129815) |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2023-07-19 |