| NPI | 1881066447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1-15-19610) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 824) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2016-10-25 |