| NPI | 1568978369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-19-35567) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-12-17 |
| Last Update Date | 2019-04-02 |