NPI | 1831689256 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-23-68349) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO 17-39935) |
Enumeration Date | 2018-05-10 |
Last Update Date | 2023-09-23 |