| NPI | 1922643493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-23-66790) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: CO OTA.0001236) |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2024-02-02 |