NPI | 1568745735 |
---|---|
Former Name | STEPHANY LEANN YOABOV |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106S00000X Behavior Technician (Licence: NV TBD) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2011-09-23 |
Last Update Date | 2022-03-15 |