| NPI | 1184915654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-08-4792) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW012364L) |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2011-05-02 |