| NPI | 1518427574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA MC61357634) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 101YM0800X Counselor, Mental Health (Licence: WA MC61357634) | |
| Enumeration Date | 2019-03-24 |
| Last Update Date | 2023-04-14 |