| NPI | 1376396796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-24-76643) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO RBT-21-164757) |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2025-02-04 |