| NPI | 1912415902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-22-60539) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO RBT-17-42619) |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2023-01-05 |