| NPI | 1548742935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-20-40543) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO 15-08512) |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2020-07-15 |