| NPI | 1972046951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SWIA.SC.60985803) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2021-09-23 |