| NPI | 1902360860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: NV 106S0000X) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: NV 175T00000X) |
| 3747A0650X Technician, Attendant Care Provider (Licence: NV 3747A0650X) | |
| 374U00000X Home Health Aide (Licence: NV 374U000000X) | |
| 376K00000X Nurse's Aide (Licence: NV 376K00000X) | |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-01-24 |