| NPI | 1669264487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: MA 23-272944) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2025-05-19 |
| Last Update Date | 2025-08-22 |