| NPI | 1255969663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-20-46327) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO RBT.17.41116) |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-12-02 |