| NPI | 1639599590 |
|---|---|
| Former Name | COURTNEY MARGARET PEPLOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA CG60458820) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60458820) |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2022-06-30 |