| NPI | 1770113219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-24-70529) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO 1992372) |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2024-03-06 |