| NPI | 1013475136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-22-60989) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 106E00000X Assistant Behavior Analyst (Licence: CO 10602) | |
| 106S00000X Behavior Technician (Licence: CO RBT-19-80105) | |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2022-08-22 |