| NPI | 1629695473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-20-46739) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-17-33005) |
| Enumeration Date | 2020-06-28 |
| Last Update Date | 2021-01-28 |