| NPI | 1710582721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 12155228) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CO 1-21-55228) |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2024-05-23 |