| NPI | 1790110476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA CG60407065) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60407065) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2013-09-12 |