| NPI | 1871314971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA LABA3118) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 1-20-42110) |
| Enumeration Date | 2024-10-21 |
| Last Update Date | 2024-10-21 |