| NPI | 1285113480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 092300) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 104113) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2021-11-16 |