| NPI | 1417498924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MG 60122391) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2023-06-14 |