| NPI | 1194258632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-19-35342) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CO 0-17-7640) |
| 103K00000X Behavior Analyst (Licence: WA BA60956159) | |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2019-06-05 |