NPI | 1164744306 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-10-6791) |
Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.012032) |
Enumeration Date | 2010-02-15 |
Last Update Date | 2011-05-22 |