| NPI | 1437709391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA MG61417202) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA RBT-19-98243) |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2024-09-20 |