| NPI | 1225544943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-21-56479) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: CO 0-18-9386) |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2021-12-15 |