| NPI | 1497092886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60962097) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 19348) |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2023-02-22 |