NPI | 1922574896 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1-21-54636) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2018-10-18 |
Last Update Date | 2021-11-16 |