| NPI | 1811353402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-18-33258) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2022-05-02 |