| NPI | 1720711120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA LABA10000187) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ BEH-000988) |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2023-06-04 |