| NPI | 1508438771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: WA 70156954) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: WA 70118509) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2026-09-22 |