| NPI | 1821734997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-23-64044) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-21-172323) |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2024-04-01 |