| NPI | 1952648784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: NV RBT-17-38210) |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| 106S00000X Behavior Technician | |
| 251C00000X | |
| 251E00000X Home Health | |
| 251S00000X Community/Behavioral Health | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2017-12-14 |