| NPI | 1942708292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC LC200004003) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-20-41342) |
| 106S00000X Behavior Technician (Licence: FL RBT-18-48009) | |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2025-08-20 |