| NPI | 1164077483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-21-51307) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO RBT-18-70148) |
| Enumeration Date | 2019-08-04 |
| Last Update Date | 2021-07-27 |