| NPI | 1821491796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-18-33202) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2022-04-18 |