| NPI | 1689035610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 0416) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 11314663) |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2016-04-14 |