| NPI | 1194088005 |
|---|---|
| Other Name | VANESSA EVE DOUGLAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA BA60811474) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WA 1-12-10501) |
| Enumeration Date | 2012-06-17 |
| Last Update Date | 2022-11-03 |