| NPI | 1588037998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-21-54845) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CO BACB323826) |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2023-08-08 |