| NPI | 1750890984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-23-64435) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-17-41668) |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2023-05-13 |