| NPI | 1225649726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-24-71814) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OH RBT-19-100338) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2024-06-03 |