| NPI | 1902312481 |
|---|---|
| Former Name | SOFYA DYBAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA BA-61371565) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OR 10216942) |
| 106S00000X Behavior Technician (Licence: OR 10185344) | |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2023-09-04 |