| NPI | 1336716224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CO 20-126922) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: FL 20-126922) |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2022-04-07 |