| NPI | 1821649104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NV CI5280) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2023-05-26 |