| NPI | 1407974918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH I-0008007) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW015930) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2009-05-07 |