| NPI | 1104602580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA LABA10000608) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-09-01 |
| Last Update Date | 2024-02-06 |