| NPI | 1750903944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CO 22-206805) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO RBT-20-117515) |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2022-03-10 |