| NPI | 1982143277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1635) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 1-16-24441) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-02-20 |