| NPI | 1386260032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 10641-M) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NV RBT1144) |
| 225400000X Rehabilitation Practitioner | |
| 225400000X Rehabilitation Practitioner (Licence: NV 10641-M) | |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2023-12-25 |