| NPI | 1912392630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 2385) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 1-18-31199) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2019-04-21 |