NPI | 1437790870 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61460672) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-10-07 |
Last Update Date | 2023-08-13 |