| NPI | 1942857016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-23-64560) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: ZZ RBT-18-73204) |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2023-04-20 |