| NPI | 1760818918 |
|---|---|
| Former Name | KIMBERLY ROSE BRUNELLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA CG60354315) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60354315) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-19 |