NPI | 1457525404 |
---|---|
Former Name | LISA MARIE YEHL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA 1457525404) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00060345) |
Enumeration Date | 2008-04-21 |
Last Update Date | 2016-01-13 |