| NPI | 1255742193 |
|---|---|
| Former Name | JACQUELINE CAPOZZOLI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC008893) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH001875) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2016-07-20 |