| NPI | 1053827154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-18-30413) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0024306) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2026-01-28 |