| NPI | 1194359851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 225700000X Massage Therapist (Licence: NV NVMT.9115) | |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-03-02 |