| NPI | 1306302070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-22-57759) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: TX 0-16-7089) |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2022-02-11 |