| NPI | 1407426489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: DC LG200003200) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: DC RBT-21-165041) |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2025-10-08 |