| NPI | 1992515696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA LABA10001307) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2025-01-13 |
| Last Update Date | 2025-03-31 |