| NPI | 1619562014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CO RBT-20-140917) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2021-04-23 |