| 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 |