| NPI | 1295470607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: MA S19717504) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MA S1971-7504) |
| 106S00000X Behavior Technician (Licence: S1971-7504) | |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2022-04-29 |