| NPI | 1376951608 |
|---|---|
| Former Name | ANDREA LEE STASKIEWICZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 104100000X Social Worker (Licence: HI LSW2421) |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2023-11-27 |