| NPI | 1699443028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1-20-42632) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 3155) |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2021-08-31 |