| NPI | 1912770587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA LABA10000196) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2024-05-02 |