| NPI | 1598287062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: MA 20-144817) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2017-07-16 |
| Last Update Date | 2024-02-21 |