| NPI | 1053810994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA HUTCHJN056JF) |
| 101Y00000X Counselor | |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2023-11-08 |