| NPI | 1639860919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-24-72341) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MT RBT-20-128351) |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2024-04-15 |