| NPI | 1952994881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 011825) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MA RBT-20-135380) |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2026-08-05 |