| NPI | 1619459757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-19-40208) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO RBT-17-39415) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2020-04-08 |