| NPI | 1841762630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA LABA10000768) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2024-03-21 |