| NPI | 1194366864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NV 10272-M) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NV RBT-19-101025) |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2022-10-31 |