| NPI | 1659993707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-21-52802) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-20-115585) |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2021-09-09 |