| NPI | 1164813051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60527755) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2023-05-19 |