| NPI | 1346654654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-13-12870) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CO 115208) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2014-06-13 |