| NPI | 1710797642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 33241) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MD RBT-25-402911) |
| Enumeration Date | 2025-01-13 |
| Last Update Date | 2025-06-29 |