| NPI | 1780352765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA LABA10000994) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NH 1-21-52048) |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2024-07-09 |