| NPI | 1699463901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA LABA5000889) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VT 146.0134303) |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2023-04-25 |