| NPI | 1831745553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-22-61224) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: CO 0-19-9772) |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2022-08-29 |