| NPI | 1811648025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 1-25-84065) |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2025-09-10 |