| NPI | 1225552839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-16-23961) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW133221) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2017-07-26 |