| NPI | 1275143497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA SC61332106) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61001714) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2022-09-15 |