| NPI | 1053811695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61562419) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61287241) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2024-09-08 |