| NPI | 1265940076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-18-34015) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO RBT-16-2831-32386) |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2019-02-05 |