| NPI | 1730964438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: RI 1-23-67249) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 10000397) |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2023-10-04 |