| NPI | 1477947190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60303688) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical (Licence: WA SA60303385) | |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2015-03-19 |