| NPI | 1821560947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1-19-34819) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MA RBT-16-14711) |
| Enumeration Date | 2018-12-31 |
| Last Update Date | 2019-07-11 |