| NPI | 1649786096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MHCA.MC.61315902) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61213287) |
| 1041C0700X Social Worker, Clinical | |
| 106S00000X Behavior Technician | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2022-06-08 |