| NPI | 1699532275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA CB1473413) |
| 106S00000X Behavior Technician (Licence: WA cb61473413) | |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2025-07-03 |