| NPI | 1568975456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61172256) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA MG60908295) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2025-06-27 |