| NPI | 1972152635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 4260-MH-B1) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2023-01-20 |