| NPI | 1861810707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1-12-10449) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MA 8772) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2014-03-28 |