| NPI | 1427416882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CAAR.CG.60619608) |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2018-08-08 |