| NPI | 1487180089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 61167030) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA CG60736007) |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2024-08-22 |