| NPI | 1689282790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 3807-MH-B1) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2021-11-30 |