| NPI | 1972844777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-17-26811) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CO 0135260) |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2021-02-17 |