NPI | 1508158635 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NV 1-21-56396) |
Additional Taxonomies | 106S00000X Behavior Technician (Licence: NV RBT-20-110527) |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2011-05-08 |
Last Update Date | 2022-02-03 |