| NPI | 1154995553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-23-66882) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: CO 0-22-13953) |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2023-07-14 |