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 |