NPI | 1508354721 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-21-49802) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO RBT-17-45547) |
Enumeration Date | 2018-04-24 |
Last Update Date | 2021-05-24 |