| NPI | 1770270423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV CI5598) |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2025-07-29 |