| NPI | 1821435066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1-18-29338) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-18-29338) |
| 106S00000X Behavior Technician | |
| 174400000X Specialist | |
| 222Q00000X Developmental Therapist (Licence: MA 402) | |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2018-05-31 |