| NPI | 1902540552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: CO 161450758) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO 16-145-0758) |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2022-04-20 |