| NPI | 1548041437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG61490067) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA CB61314324) |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2023-10-09 |