| NPI | 1316481203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61502682) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NV 02337-I) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2024-03-18 |