| NPI | 1790342400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: MA RBT-20-120645) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2021-09-16 |