| NPI | 1164868188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC70149441) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2026-07-01 |