| NPI | 1841707833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CI3337) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NV RBT-17-46790) |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2024-02-06 |