| NPI | 1649154048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 34919) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MD RBT-25-483417) |
| Enumeration Date | 2025-07-31 |
| Last Update Date | 2026-06-10 |