| NPI | 1932551678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60926771) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WA MC60607433) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2024-01-08 |