| NPI | 1740769652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-20-45451) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO 18-62775) |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2020-12-07 |