| NPI | 1548854540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 29028) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MD RBT-21-156763) |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2022-08-19 |