| NPI | 1962052993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 11978-C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NV 10341-M) |
| 106S00000X Behavior Technician (Licence: NV RBT0813) | |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2025-11-18 |