NPI | 1659612687 |
---|---|
Former Name | MEGAN THOMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA 60759325) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60334125) |
Enumeration Date | 2013-03-15 |
Last Update Date | 2019-08-28 |