| NPI | 1679819635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-12-12294) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60479643) |
| 103K00000X Behavior Analyst (Licence: WA BA60762546) | |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2023-11-29 |