| NPI | 1427587849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61075558) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60723188) |
| 106S00000X Behavior Technician (Licence: WA CB60774113) | |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2022-06-15 |