| NPI | 1588464457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA LABA10001383) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 4354) |
| Enumeration Date | 2025-03-18 |
| Last Update Date | 2026-06-30 |