| NPI | 1730634064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60971328) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WA BA60905377) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2023-02-23 |