| NPI | 1942768312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NV CI5162) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: NV RBT-19-80143) |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2025-05-14 |