| NPI | 1588333264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CP5851) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV CI5128) |
| 106S00000X Behavior Technician (Licence: NV RBT-21-170135) | |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2025-01-13 |