| NPI | 1679185193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 101048) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 1408) |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-17 |