| NPI | 1114355484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60411600) |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2015-10-08 |