| NPI | 1679042881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA LABA10000933) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-24-74273) |
| 106S00000X Behavior Technician (Licence: CA RBT-18-65751) | |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2024-08-06 |