| NPI | 1578041869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: NV RBT5688) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2026-02-16 |