| NPI | 1912500877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA MC6165156) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CO LPCC.0015680) |
| 101YM0800X Counselor Mental Health (Licence: CO NLC.0105555) | |
| 101YM0800X Counselor Mental Health (Licence: WA LH61159392) | |
| 106S00000X Behavior Technician (Licence: WA CB61665593) | |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2025-06-07 |