| NPI | 1316486764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: WA CG 60733093) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60733093) |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-06-05 |