| NPI | 1356756696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO RBT-20-118063) |
| 225200000X Physical Therapy Assistant (Licence: NE 1020) | |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2022-08-15 |