| NPI | 1114375045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA G60655200) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: WA AB60925122) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2019-09-24 |