| NPI | 1043755887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: WA RBT-17-27887) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60716828) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-04 |