| NPI | 1821459900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103K00000X Behavior Analyst (Licence: WA CG60638975) | |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2016-07-13 |