| NPI | 1639796782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-21-56470) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO RBT-19-80184) |
| Enumeration Date | 2020-07-05 |
| Last Update Date | 2022-01-14 |