| NPI | 1417169475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 072570) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 072570) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2015-04-23 |