NPI | 1336403682 |
---|---|
Former Name | RICCI ALISHA HAUGEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA BA60928335) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
Enumeration Date | 2012-07-02 |
Last Update Date | 2021-06-09 |