| NPI | 1558739458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NV 10694-C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NV IC-1474) |
| 106S00000X Behavior Technician (Licence: NV RBT-15-03056) | |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2023-06-07 |