| NPI | 1518328319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 101YM0800X Counselor Mental Health (Licence: WA 60877634) | |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2021-07-31 |