| NPI | 1699094938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61553690) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-07-3585) |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2024-05-30 |