| NPI | 1265087399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NV RBT-21-169986) |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2022-09-28 |