| NPI | 1467999391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG60715714) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA CG60715714) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2022-07-21 |