| NPI | 1063714533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CI5555) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2025-05-22 |