| NPI | 1548709504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60889173) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WA BA60916078) |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2020-01-27 |