| NPI | 1952035719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-23-65631) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: CO 0-22-13742) |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2023-05-16 |