| NPI | 1821530551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-17-25819) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO RBT-16-16571) |
| Enumeration Date | 2016-11-11 |
| Last Update Date | 2017-03-30 |