| NPI | 1376173013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-19-40463) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 3233) |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2021-03-24 |