| NPI | 1942671078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1-15-18507) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 845) |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2016-10-25 |