NPI | 1184058919 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 1-12-10062) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 077108-1) |
Enumeration Date | 2013-08-28 |
Last Update Date | 2013-08-28 |