| NPI | 1063170470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: MA RBT-19-86669) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-24-77030) |
| Enumeration Date | 2021-12-02 |
| Last Update Date | 2024-11-05 |