| NPI | 1386053320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA SC61473683) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2023-08-08 |