NPI | 1396149126 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA CG60259012) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2014-10-22 |
Last Update Date | 2020-03-24 |