| NPI | 1437468709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA LH60504094) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-15-19831) |
| 103K00000X Behavior Analyst (Licence: WA BA60761568) | |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2019-01-16 |