| NPI | 1245618875 |
|---|---|
| Former Name | EILEEN WOTANOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YS0200X Counselor School |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-14 |