NPI | 1689268583 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NV 5039-R) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NV 5039-R) |
106S00000X Behavior Technician | |
Enumeration Date | 2021-02-22 |
Last Update Date | 2025-07-24 |