| NPI | 1023053360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-13-13882) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW123600) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2016-08-08 |