| NPI | 1801336367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1-14-16784) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 000001663) |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2017-03-03 |