| NPI | 1023255437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH 60063071) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1000013) |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2009-01-08 |