NPI | 1457654048 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OH 1-05-2286) |
Additional Taxonomies | 104100000X Social Worker (Licence: OH S.0500782) |
104100000X Social Worker (Licence: IL 150.003366) | |
Enumeration Date | 2010-12-21 |
Last Update Date | 2022-11-01 |