| NPI | 1942963657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-24-70813) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO RBT-21186758) |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2024-06-03 |