| NPI | 1306386529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-18-30997) |
| Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis |
| 106S00000X Behavior Technician | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2018-06-26 |