| NPI | 1851097455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61476232) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 101YP2500X Counselor, Professional | |
| 101YP2500X Counselor, Professional | |
| 103K00000X Behavior Analyst | |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-08-18 |