| NPI | 1609761006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: MA 25-459560) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2025-08-19 |