| NPI | 1306351440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA CD60772874) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2024-04-10 |