| NPI | 1558811919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61500263) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OR 10179508) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2024-10-01 |