| NPI | 1366034159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 139287) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61451397) |
| 103K00000X Behavior Analyst (Licence: AK 238738) | |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2025-05-15 |