| NPI | 1710351010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: MA RBT-17-1831-68568) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2023-08-28 |