| NPI | 1669912101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-18-30034) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2022-03-07 |