| NPI | 1407522907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-52023) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO Psy.0006339) |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2024-04-14 |