| NPI | 1225564891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61352827) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C7292) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2024-04-17 |