| NPI | 1093135287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA 1106766) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC60107378) |
| Enumeration Date | 2014-04-26 |
| Last Update Date | 2022-02-15 |