| NPI | 1144763566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG60723534) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA CG60723534) |
| Enumeration Date | 2016-12-02 |
| Last Update Date | 2021-06-23 |