NPI | 1205170636 |
---|---|
Former Name | PATRICIA E REILLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 103TS0200X Psychologist, School |
Enumeration Date | 2012-11-26 |
Last Update Date | 2012-11-26 |