| NPI | 1821638701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VT 146.0134292) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA LABA50000879) |
| 103K00000X Behavior Analyst (Licence: MA 1-22-62821) | |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2024-09-19 |