| NPI | 1851154215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG70047705) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WA MR61383236) |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2026-01-30 |