| NPI | 1184475204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NV RBT-23-276955) |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2025-08-12 |