| NPI | 1750786000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-16-24304) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: CO 0-14-6129) |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2017-12-08 |