| NPI | 1578176582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1-24-75453) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MA RBT-22-248581) |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2024-11-01 |