| NPI | 1356178636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1-24-76257) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2025-01-30 |