| NPI | 1679387708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: RI 1-24-78251) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA LABA10001501) |
| Enumeration Date | 2025-02-07 |
| Last Update Date | 2025-07-01 |