| NPI | 1811553456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1-23-59290) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2023-11-02 |