| NPI | 1518744622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-24-76549) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-23-296854) |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2024-10-15 |