NPI | 1336916212 |
---|---|
Former Name | KATHY LYNN LALOTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: PA SW141060) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: PA BH003517) |
Enumeration Date | 2023-12-11 |
Last Update Date | 2023-12-13 |