| NPI | 1720464746 |
|---|---|
| Former Name | MONA RAE KEALOHA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: WA 0-16-7120) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA cg60508326) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2017-09-19 |