| NPI | 1437342839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-06-3182) |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: IL 1-06-3182) |
| 101Y00000X Counselor (Licence: WA CL60166749) | |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2010-09-06 |