| NPI | 1912308867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 12099-M) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NV RBT6077) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2026-03-06 |