| NPI | 1972061281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-24-70764) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO RBT-19-80327) |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2024-01-22 |