| NPI | 1144689159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MG60990301) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2021-08-23 |