| NPI | 1679130033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-21-56303) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO RBT-17-32754) |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2026-03-25 |