| NPI | 1245985621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG61300836) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA CB61237765) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2022-07-07 |