| NPI | 1073156014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-23-65770) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO RBT-19-77755) |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2023-06-12 |