| NPI | 1619646189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA CL60831073) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO61253766) |
| 106E00000X Assistant Behavior Analyst | |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2021-12-16 |