| NPI | 1942672506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1-13-14729) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 543) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2016-10-25 |