| NPI | 1912414699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-21-55811) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: 0-19-10373) |
| 106S00000X Behavior Technician (Licence: FL RBT18-47646) | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2024-10-23 |