NPI | 1275933913 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: NV RBT-16-19980) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2014-08-29 |
Last Update Date | 2018-05-25 |