| NPI | 1851711295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CI2771) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OR ABA-IN-10174354) |
| 171M00000X Case Manager/Care Coordinator | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2020-04-16 |