| NPI | 1891250320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-20-40944) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO RBT-19-77960) |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2020-06-25 |