NPI | 1710545694 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA LABA10001422) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2019-06-05 |
Last Update Date | 2025-07-28 |