| NPI | 1588333264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV CI5128) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NV RBT-21-170135) |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2022-07-10 |