| NPI | 1962012203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-23-66067) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-19-98472) |
| Enumeration Date | 2020-08-02 |
| Last Update Date | 2024-09-25 |