| NPI | 1245522465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-11-8013) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 9747) |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2016-09-14 |