| NPI | 1447773619 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-21-51558) | 
| Additional Taxonomies | 156F00000X Technician/Technologist | 
| Enumeration Date | 2017-07-19 | 
| Last Update Date | 2021-07-19 |