| NPI | 1053908632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CO 20-134133) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-12-29 |
| Last Update Date | 2022-12-13 |