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 |