| NPI | 1972103307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA MC61522063) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2025-03-27 |