| NPI | 1053898916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NV 25728486) |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2020-10-09 |