| NPI | 1245689116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NV 10151-C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NV 8835-S) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2023-10-04 |