| NPI | 1053180919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MG61593091) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-24-332189) |
| Enumeration Date | 2023-12-20 |
| Last Update Date | 2025-01-30 |