| NPI | 1649561820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA 1-10-7429) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG 60153168) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2011-04-22 |