| NPI | 1902795347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: MA 106S00000X) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: 106S00000X) |
| Enumeration Date | 2025-07-01 |
| Last Update Date | 2025-07-01 |