| NPI | 1023590072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CO RBT-22-243640) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO 17-35441) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2024-04-09 |