| NPI | 1497230379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA CB60900695) |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2024-12-26 |