NPI | 1699389437 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LG2000026617) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 30894) |
106S00000X Behavior Technician | |
171M00000X Case Manager/Care Coordinator (Licence: DC LG2000026617) | |
Enumeration Date | 2020-08-31 |
Last Update Date | 2025-07-17 |