| NPI | 1750090155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CO 17-056-3924) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO 170563924) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2022-11-15 |
| Last Update Date | 2022-11-15 |