| NPI | 1285132274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CO RBT-20-149494) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2020-12-23 |