| NPI | 1427554112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61482317) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WA BA61247380) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2025-01-06 |