| NPI | 1821594334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA LABA10000043) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 1-23-63505) |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2025-03-03 |