| NPI | 1023489648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA 1-18-33617) |
| Additional Taxonomies | 101Y00000X Counselor |
| 106S00000X Behavior Technician (Licence: WA CB60767882) | |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2019-04-15 |