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 |