| NPI | 1912610973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA LABA10000003) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VT 146.0134296) |
| Enumeration Date | 2023-01-04 |
| Last Update Date | 2023-06-27 |