| NPI | 1760028807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-21-48262) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 106S00000X Behavior Technician (Licence: NE 19-104186) | |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2021-07-19 |