| NPI | 1003327867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA CG61056395) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CB60813620) |
| 106E00000X Assistant Behavior Analyst | |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2022-07-14 |